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目的:观察中医治疗结合认知行为疗法对2型糖尿病血糖控制的效果。方法:将80例患者随机分为治疗组和对照组各40例。对照组在饮食控制和辅助运动的基础上,常规使用胰岛素治疗;治疗组在对照组治疗的基础上,采用辨证论治结合认知行为疗法治疗。观察空腹静脉血糖(FBG)、餐后2h静脉血糖(P2hBG)、糖化血红蛋白(HbAlc)以及胰岛素用量的变化。结果:治疗后治疗组FBG、P2hBG、HbAlc均较治疗前显著下降,差异有非常显著性意义(P<0.01),其中HbAlc较对照组明显下降,差异有显著性意义(P<0.05),治疗组优于对照组。治疗后治疗组胰岛素使用量较治疗前与对照组治疗后明显减少(P<0.01)。结论:在常规胰岛素治疗的基础上,通过中医治疗结合认知行为疗法控制2型糖尿病患者的血糖,可取得更好的效果。
Objective: To observe the effect of TCM treatment combined with cognitive behavioral therapy on glycemic control of type 2 diabetes mellitus. Methods: 80 patients were randomly divided into treatment group and control group, 40 cases each. The control group on the basis of diet control and ancillary exercise, routine use of insulin therapy; treatment group in the control group based on the treatment, the use of syndrome differentiation combined with cognitive behavioral therapy. The changes of fasting venous blood glucose (FBG), 2h postprandial blood glucose (P2hBG), HbAlc and insulin dosage were observed. Results: After treatment, FBG, P2hBG and HbAlc in the treatment group decreased significantly compared with those before treatment (P <0.01), HbAlc in the treatment group was significantly lower than that in the control group (P <0.05), and the difference was statistically significant Group better than the control group. After treatment, the amount of insulin used in the treatment group was significantly decreased (P <0.01) compared with that before treatment and the control group. Conclusion: On the basis of conventional insulin therapy, better effect can be obtained by controlling the blood glucose of type 2 diabetic patients through Chinese medicine treatment combined with cognitive behavioral therapy.